JSCAI BEATS – Details, episodes & analysis

Jonathon Leipsic, Yader Sandoval, Koen Nieman, Natalia Pinilla, and Hector Garcia discussed the significance & highlights from the CCTA roundtable document. The panel emphasized the use of CCTA to enhance pre-procedural planning, improve patient outcomes, and optimize resource utilization by providing detailed anatomical and functional assessments of coronary lesions. The experts also highlighted the roundtable's recommendations, which included increasing access to contemporary CCTA scanners, enhancing visualization tools for interventionalists, and promoting educational training efforts. Read the article: https://doi.org/10.1016/j.jscai.2025.103664

Elazar Edelman, MD, PhD, Rohan Khera MD, MS, Afnan Tariq, MD, JD, FSCAI, & Curtis Rooney discuss 2 articles published in JSCAI's latest issue. This video interview focuses on its role in optimizing patient care, preserving physician autonomy, and addressing algorithmic bias. The panel also dives into the ethical, regulatory, and practical considerations of AI integration, highlighting the importance of societies in advocating for education and promoting transparent, equitable, and secure AI-driven decision-making systems.1- Harnessing Artificial Intelligence for Innovation in Interventional Cardiovascular Care: https://doi.org/10.1016/j.jscai.2025.102562 2- Governing the Unbound: SCAI’s Role in the Future of Artificial Intelligence: https://doi.org/10.1016/j.jscai.2024.102517Read the special issue:

In this video conversation featuring Connor Tice, MD, John Blair, MD, Larry Dean, MD, MSCAI, and Morton Kern, MD, MSCAI, the panel explores the role of coronary function testing in providing diagnostic clarity and potential therapeutic options for patients presenting with angina, despite having nonobstructive coronary arteries on coronary angiography. This discussion highlights key takeaways from the Hemodynamics case report published in JSCAI.

Read the article: https://doi.org/10.1016/j.jscai.2024.102437

Physiological changes in the coronary circulation associated with PCI for CTOs remain largely unknown. This systematic review and meta-analysis, published in JSCAI, aimed to investigate physiological changes in the CTO and donor vessel before and immediately after PCI, as well as at follow-up.Dean Kereiakes MD MSCAI, Javier Escaned MD PhD, Emmanouil Brilakis MD PhD FSCAI, and William Fearon MD FSCAI discuss the article highlights in this video interview. Read the article: https://doi.org/10.1016/j.jscai.2024.102452

Leaders, Sahil Parikh, MD, FSCAI, Pietro Di Santo, MD, & Carlos Mena-Hurtado, MD FSCAI, discuss key findings from the ULTRAsound Assessment of Access SITe COMplications study, highlighting the superior accuracy of point-of-care ultrasound (POCUS) in detecting pseudoaneurysms compared to physical examination alone. The authors explore how integrating POCUS into routine practice could enhance early complication detection, improving patient outcomes and reducing healthcare costs. With advancements in ultrasound accessibility, this discussion underscores the growing role of POCUS in optimizing post-procedural care.Read the related article: https://doi.org/10.1016/j.jscai.2024.102516

A Bayesian network meta-analysis of 30 studies involving 8,016 patients compared 12 PCI strategies for treating DES-ISR. Prakash Raj Oli, MBBS, Andrew Goldsweig, MD, FSCAI, Evan Shlofmitz, DO, discuss these findings in an insightful video interview, emphasizing key clinical takeaways and the need for further research. Read the article: https://doi.org/10.1016/j.jscai.2024.102428

Drs. Andrew Goldsweig, MD, MS, FSCAI, Ivan Hanson, MD, FSCAI, Bill O’Neil, MD, MSCAI, Srihari Naidu, MD, FSCAI & M. Babar Basir, DO, FSCAI discuss this original research in JSCAI highlighting the characteristics and outcomes of the SCAI stage E shock patients with AMICS undergoing PCI who improved to stage C or D within 24 hours of Impella support (“responders”) vs those patients who remained in stage E (“nonresponders”). Read the article: https://doi.org/10.1016/j.jscai.2024.102462

Cindy Grines, MD, MSCAI, Rajesh Rajan, MD, and Mirvat Alasnag, MD, FSCAI, discuss the first study to validate the SCAI-Cardiogenic Shock Working Group stages in a large cohort of AMICS patients in the Gulf region. The findings reveal that higher SCAI stages (D/E) are strongly linked to significantly worse short- and long-term survival outcomes. Patients in advanced stages of shock face more than a threefold higher risk of mortality, underscoring the critical importance of early identification and aggressive treatment to improve survival. Watch the video interview now.Read the article: https://doi.org/10.1016/j.jscai.2024.102461

To evaluate the safety and efficacy of endovascular treatments for superficial femoral artery (SFA) disease, in this network meta-analysis of 57 randomized trials (9089 patients), the authors compared outcomes across nine modalities, including PTA, atherectomy, drug-coated balloons, and stents. The analysis showed superior technical success and 12-month patency for most techniques compared to PTA, with CSG and A+DCB outperforming other interventions, while no significant differences were observed in mortality or major amputation rates. Sahil Parikh, MD, FSCAI, Khanjan Shah, MD, FSCAI, and Andrew Schwartz, BS discuss methods and results in this video interview. Read the article: https://doi.org/10.1016/j.jscai.2024.102432

In this review, the authors discuss the various aspects of right heart blood flow patterns, as assessed by 4D flow MRI, in the context of shunt devices under clinical evaluation for patients with symptomatic HFpEF. This related video conversation features Andrew M. Goldsweig, MD, MS, FSCAI, Raviteja Guddeti, MD, Megan Coylewright, MD, FSCAI, Sheldon Litwin, MD, Santiago Garcia, MD, FSCAI, and Peter S. Fail, MD, FSCAI. They discuss the importance of using 4-dimensional flow magnetic resonance imaging to examine the abnormal right heart blood flow patterns in naturally occurring interatrial shunts. Read the related article: https://doi.org/10.1016/j.jscai.2024.102439